CONSENT FORM – U15 PLAYER PLAYING AGAINST U17 PLAYER OUTSIDE ENGLAND
For use when it is intended that an U15 player will play outside England against an U16 team
that may contain players who are classified as U17s under RFU Regulations (but due to
differences in age banding, are classified as U16s in the foreign jurisdiction).
Full name:
Team:
Age grade:
U15
Date of birth:
Playing position:
Period of permission, including dates (eg a series of matches, the season):
___/ ___ / __
Permission of parent / guardian / carer for coach, safeguarding manager and Rugby Football
Union / Constituent Body (as appropriate) to assess the above named player and decide upon
his suitability to play in matches against U17 players
I authorise the Lead Coach, Safeguarding Manager and Rugby Football Union or Constituent Body
(as appropriate) to assess the player whose name appears above and decide upon his suitability to
play in matches against U17 players
Name of person authorising
Signature:
(please print):
Relationship to player:
Declaration:
Following an assessment in accordance with the Guidance to RFU Regulation 15, we certify that the above
named player is competent to play against U16 teams containing U17 players, as defined by RFU Regulation
15.
Regarding front row play:
 We certify that he is competent to play in the front row in those games
 We certify that he is NOT competent to play in the front row in those games
(Delete as appropriate)
Lead Coach name
(please print)
Signature:
Date:
Signature:
Safeguarding Manager name
(please print)
Date:
Authorisation by RFU (if playing in a National/Divisional team) or Constituent Body official (if
playing in a non-National/Divisional team) (as appropriate)
Name:
Signature:
(please print)
Date:
Position:
02/02/2013